在活体肌肉内,骨折的pH在稳定之前是酸性的,并且在稳定后48小时向系统pH平衡
Danielle F Peterson1, Loren O Black1, Karalynn Lancaster1
1Orthopaedics & Rehabilitation, Oregon Health & Sciences University, Portland, Oregon, USA.
概括
骨骨折的肌内pH (IpH) 在手术前是高度酸性的,在手术后48小时内正常化. 这项研究强调了IpH作为潜在的诊断标志物,与急性隔间综合征的不可靠的压力测量不同.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 生理学 生理学 生理学
背景情况:
- 诊断急性隔间综合征 (ACS) 是一个挑战.
- 通过皮肤输入肌肉压力 (TIMP) 对ACS.不可靠.
- 在下肢损伤的体内肢体pH平衡尚不清楚.
研究的目的:
- 在骨骨折中通过肌内pH (IpH) 量化酸化学.
- 将IpH与静脉pH (VpH) 和TIMP测量进行比较.
- 调查骨折愈合期间的IpH变化.
主要方法:
- 在39名骨骨折患者的观察研究中.
- 在手术前和手术后 (48小时) 侵入性IPH和VpH测量.
- 在手术期间测量TIMP.
主要成果:
- 最初的IpH是显著的酸性 (6.57),而不是VpH (7.35).
- 在手术后48小时内,IpH正常化为VpH.
- 在IpH和VpH之间存在强烈的正相关性 (r=0.476).
- 在TIMP和IpH之间没有相关性 (r=0.041).
结论:
- 骨折肌肉在手术前明显比系统循环更为酸性.
- 肢体IpH在手术稳定后的48小时内恢复正常.
- TIMP与直接肌内生理学 (IpH) 不相关,这强调了需要改进诊断工具的需要.
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